Individual provider Active NPI

Abigail Mather, MS, NCC, LPC

  • Professional Counselor
  • Creve Coeur, MO
National Provider Identifier
1477380384
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2022028797 Issued in MO
Practice address
1000 Executive Parkway Dr Ste 106
Creve Coeur, MO 63141-6369
Phone
(314) 469-5522
NPI assigned
Sep 16, 2024
Last updated
Sep 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2022028797 MO Primary

Addresses

Primary practice location

1000 Executive Parkway Dr Ste 106
Creve Coeur, MO 63141-6369

Mailing address

1000 Executive Parkway Dr Ste 106
Creve Coeur, MO 63141-6369
Phone (314) 469-5522

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective May 19, 2026 through May 19, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2022028797MOMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Crossroads Christian Counseling Professional CurrentSince Feb 23, 2025 Accepting new patients

Locations

1000 Executive Parkway Dr
Ste 106
Saint Louis, MO 63141
Phone (314) 329-7107

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1726444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1477380384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 EXECUTIVE PARKWAY DR STE 106",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631416369",
            "telephone_number": "314-469-5522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 EXECUTIVE PARKWAY DR STE 106",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631416369",
            "telephone_number": "314-469-5522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHER",
        "first_name": "ABIGAIL",
        "credential": "MS, NCC, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-16",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2022028797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Creve Coeur, MO

Sources for this page

Verify at the official NPI Registry.